Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.76 / $1,166.76 / $12,929.35	Facility		$1,166.76	$1,166.76	$12,929.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,501.53 / $1,971.82 / $3,337.81	Facility		$1,501.53	$1,971.82	$3,337.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,941.78 / $3,054.35 / $3,779.24	Facility		$1,941.78	$3,054.35	$3,779.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,558.19 / $2,074.21 / $2,395.46	Professional		$1,558.19	$2,074.21	$2,395.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $463.66 / $463.66 / $463.66	Professional	80	$463.66	$463.66	$463.66
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $463.66 / $463.66 / $463.66	Professional	AS	$463.66	$463.66	$463.66
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00